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Home My WebLink AboutMITIGATION 5/1998 FLUOR DANIEL GTI, INC. THE SOUTHLAND CORPORATION STORE NO. 22150 HEALTH AND SAFETY PLAN PART A -IMMEDIATE INFORMATION SOUTHLAND NO. 22150 4012 WHITE LANE Bakersfield, CA. May, 1998 The information in this RP HASP is provided solely for "the protection of the health and safety of Fluor Daniel GTI, Inc. employees and subcontractors working under the direct supervision and control of Fluor Daniel GTI, Inc. on this project. Fluor Daniel GT', Inc. assumes no liability for, or responsibility to, any other parties for the accuracy or completeness of the information contained herein for any use or reliance upon this RP HASP by any other party. Copyright© Fluor Daniel GTI All Rights Reserved FLUOR DANIEL GTI ~ rev10-29 Retail Petroleum Health and Safety Plan - Southland 22150, Bakersfield, CA. ii Part A[]Slte-Speclflc Health and Safety Plan Information May, 199B CONTENTS PART A - SITE SPECIFIC HEALTH AND SAFETY PLAN INFORMATION Site Emergency Form v Hospital Location Mapvi Preface vii Hazard Analysis Matrix viii Site Specific Health and Safety Program Forms ix Agreement and Acknowledgment Sheet x PART B - STANDARDIZED RETAIL PETROLEUM HEALTH AND SAFETY PLAN INFORMATION List of Acronymsxvi 1,OlNTRODUCTION 1 2.0PETROLEUM PRODUCTS HAZARD ANALYSIS 4 2.1 Retail Petroleum Contaminants 4 2.2Petroleum Products Emergency & First Aid Information 5 3.0HAZARD IDENTIFICATION AND CONTROL 6 4.0AIR MONITORING AND NOISE MONITORING PLANS 13 4.1Air Monitoring 13 4,2Noise Monitoring 17 5.0CONFINED SPACE ENTRY19 6.0CHEMICAL HAZARD CONTROL20 6.1 Chemical Handling Procedures 20 6.2PPE 21 6.3Site Control: Work Zones 22 6.4Decontamination Procedures 23 6,5Example Decontamination Diagram24 7.0CONTINGENCY PLANS AND FIELD COMMUNICATIONS 25 7.1 Evacuation25 7.2Medical Emergency25 7.3Fire Emergency25 7.4Spill Release26 7.5Field Communications27 FLUOR DANIEL OTI ~ rev10-29 Retail Petroleum Health and Safety Plan - Southland 22 1 SO. Bakersfield. CA. iii Part ADSlte-Speclflc Health and Safety Plan Information May. 1 ee8 TABLES 1.Health and Safety Programs3 2.Petroleum Products Contaminants Profile4 3.Potential Hazards and Controls6 4.Air Monitoring Action Levels14 5.Air Monitonng Summary16 6.Air Monitoring Frequency Guidelines17 7,Nolse Monitoring18 8.Chemical Handling Procedures20 9.PPE21 10.Site Security and Work Zone Definition22 11.Deconfamination Procedures23 12.Contingency Plans for Site Emergencies25 13.Field Communication Methods27 APPENDICES A.Amendment Sheet VisitorlTrainee Guidelines Trainee/Observer Agreement Form B.PIR PIR Guidelines C.LockoutfTagout Procedures D.MSDS Definitions MSDSs E.Air Monitoring Form Daily Calibration Form Noise Monitoring Form F,ExcavationlTrenching Safety Procedures Trench Safety - Daily Field Report Soils Analysis Checklist ExcavationfTrenching - Underground Utilities Underground Utility Contact Prevention and Management Plan ExcavationfTrenching - USTs UST Removals G.CSE Hazard Analysis Form Site-Specific Confined Spaces CSE Permit Confined Space Personnel Requirements H.Hot Work Permit Hot Work JSA I.Heat/Cold Stress Procedures J,Daily Tailgate Safety Meeting Form FLUOR DANIEL GTI ~ rev10-29 Retail Petroleum Health and Safely Plan - Southland 221 SO, Bakersfield, CA. iv Pari ADSlte-Speclflc Health and Safely Plan Information May, 199B FLUOR DANIEL GTI, INC. RETAIL PETROLEUM HEALTH AND SAFETY PLAN PART A EMERGENCY INFORMATION HAZARD ANALYSIS SITE-SPECIFIC REQUIREMENTS This RP HASP addresses the safety issues associated with retail petroleum station operations typically involving the site activities described below, A laminated, color-coded reference card has been developed to provide health and safety guidance. . .--.-....""..............."....-.-..-.......""".....------'-.....................---.....,......................... ..................................................................................................'"...................... . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , - , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - . . . . ............................."....................................................................,."..........-......... R!IjÇ~Pffl^§gR~t~I~~~E!rªR~q~i~ªH Drilling Underground Storage Tank Removal yes Gauging, Bailing, Sampling Monitoring Wells Excavation and Trenching Pilot Testing System Installation System Operation and Maintenance Confined Space Entry Air Monitoring yes yes For project activities at: SOUTHLAND 22150 4012 White Lane Bakersfield, CA May, 1998 SHELBY LATHROP Project Manager FLUOR DANIEL GTI ~ rev10-29 Retail Petroleum Health and Safety Plan - Southland 221 SO, Bakersfield, CA. V Part A[]Slte-Speclflc Health and Safety Plan Information May, 1 998 SITE EMERGENCY FORM Contaminant~ of Concern: Petroleum Hydrocarbons Minimum level of Protection: level D Do not endanger your own life. Survey the situation before taking any action. Fluor Daniel GTI Office Telephone 510-370-3990 ProjectfTask Number 103999/6908 Site Location Address 4012 White Lane Bakersfield, Ca Telephone Located at EMERGENCY PHONE NUMBERS In the event of any emergency contact project manager or health and f t t f sa etv renresen a Ive. Ambulance 911 Fire 911 Police 911 Hospital Name Mercy Hospital Hospital Phone Number 805-632-5000 Project Manager SHELBY LATHROP Health and Safety Representative JAMES SMITH Client Contact Bob DeNinno Poison Control 911 State Agency Bakersfield City Fire Department UTILITY MARKER EMERGENCY TELEPHONE NUMBERS Water Gas Electric Telephone/Cable Sewer Blue Yellow Red Orange Green Underground Service Alert (USA) Telephone Number: 1-800-642-2444 FLUOR DANIEL GTI ~ rev10-29 Retail Petroleum Health and Safety Plan - Southland 22150, Bakersfield, CA. vi Part A[]Slte-Speclflc Health and Safety Plan Information May, 1998 See Attached Map HOSPITAL DIRECTIONS: Take White east to Highway 99. Go north on Highway 99 and exit at California Avenue. Go east on California Avenue and make an immediate left on Wible Road. Continue on Wible Road to Truxtun Avenue. Make a right on Truxtun, Mercy Hospital is on the right hand side of Truxtun Avenue. HOSPITAL INFORMATION: Name: Mercy Hospital Address: 2215 Truxtun Avenue City, State: Bakersfield, Ca Phone: Emergency: 911 General: 805) 632-5000 FLUOR DANIEL GTI ~ rev10-29 ~" \ ~,\,>t ~ .~n""." "16-.'.... ~.:~: u. ~ A . - ''''''''' ""'" ~, ~ § '> '"' ~ t; t ~'" .wkœ1,,"~ D<CAT~' "If 7" l:....~~ft{ . ~ ;/Ij ~Ì''' ~ o. ~.=rå~..,'J"i~I-~'~·¡;t '" WAllREN ~~ '';''''',~ ~,:cÌ~.~'> """ .,~ ~¡P :,'" ::~£~~ p~ Kern ' '> ¡.., If',~ IE AV~ ''1ft~¡ ,.,. ~ þ'/ I~ ~r-~ ,,!--__ ...w: ~..,{.. ~ æ ~ ~ I:! ~~£OItGIA DRI~ (J~,~ 'v~MM)Ù SEWAGE \ FIRff i i\ /r# :::Þ ~ """MENT. '~:'''"'''''1i 51" " I,; ~/ \ \~ I /'IANT ~ JItHt 0 lilt "'Æ ~ t.~ "Y \\'d " "SCN L ~ ~ / 'em. ~ "'" c~~~ ; ! * p :/ ç,. ð / : ~ " . / '..mAS \.'\."" ~':;', 'þ, " ~ \.\. -..'" 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Hãl~i_" 'é";;'¿; ~IL,~jJ -}"": <..I . : - 5:1:;::~ n-;~Et~ I- 1~=tiJ: -~;~ :~~º'~- II ê 1;' A.n I ~ AVI ¡ ,j-:" ~velLl "' ~ [J!:NA t; ",- :~ 5'1 ... ~ ~il~ ~~~ ~~~___J_ ª ,., '8iit~tj °1~~l71:; ~!~9 ~ ~OI,/j I ~ ~:ii"o !i f ~<i' M1; HOOD 011: : ~vs.r ~y " I/¡j'STOCKDALE í / COUNTflY ~ CtuB ~ ....ct.... OII:~"', ,~~ '" ...<I!i ¥ ;j E A ~ --:;;..., ~~ ð ;:~ .L > r ~~~ ~2 !-.wr~ .. " 7) ~~~ .. 51; ~-~~~ ';""'; i" ~N~ -,~-'j ~, B .. ~ ... OR DO ~ !!1!f= -cJ! .Jr- -H ti tï ~ Retail Petroleum Health and Safety Plan - Southland 221 SO, Bakersfield, CA. vii Part ADSlte-Speclflc Health and Safety Plan Information May, 1 99B FLUOR DANIEL GII ~ rev10-29 Retail Petroleum Health and Safety Plan - Southland 22150, Bakersfield, CA. viii Part A[]Slte-Speclflc Health and Safety Plan Information May, 1998 PREFACE This RP HASP is written to ensure the well-being of all Fluor Daniel GTI, Inc. (Fluor Daniel GTI) field personnel and the community surrounding the site, Accordingly, project staff and approved Fluor Daniel GTI subcontractors must follow the policies and procedures established in this RP HASP, This RP HASP contains three sections: Parts A, B, and C. Part A contains site-specific emergency information, hazard analysis, and project information that can be used in conjunction with the series of specific, laminated health and safety reference cards in Part C. Part B contains standardized guidance procedures and practices to follow for all retail petroleum operations. Part C contains a series of task- specific guidelines in the form of laminated work sheets that are to be used as "tip sheets" for preparing and presenting the daily tailgate safety meeting at the job site. Based on the project activities and tasks conducted at this site, all personnel assigned to this project must read Part A of this RP HASP, the applicable sections of Part B, and then sign the Agreement and Acknowledgment Sheet on page iv to confirm that they understand and agree to abide by the provisions of this plan. FLUOR DANIEL GTI ~ rev10-29 Retail Petroleum Health and Safety Plan - Southland 22150, Bakersfield, CA. ix Part A[JSlte-Speclflc Health and Safety Plan Information May, 199B HAZARD ANALYSIS For each task involved in this retail petroleum project, the types of hazards that may be encountered are identified in the "Hazard Analysis Matrix," For ready direction on the safe work practices to follow in the field, refer to the appropriate Part C RP HASP reference card. For more detailed information, refer to the Part B RP HASP: "Standardized Retail Petroleum Health and Safety Information", Potential H&S Impact xx xx to Community Gasoline Fuels xx xx Exposure OSHA Chemicals Exposure Mechanical xx xx Equipment, and Construction Lifti~ and Material xx xx Han ing Electrical xx xx Fire and Explosion xx xx Heat and Cold Stress xx xx Vehicular Traffic xx xx Pedestrian Traffic xx xx Overhead Utilities xx xx Underground Utilities xx xx Noise xx xx Confined Space Entry Poisonous Plants xx xx Snakes, xx xx Spiders, and Insects FLUOR DANIEL Gfl ~ rev10-29 Retail Petroleum Health and Safety Plan - Southland 221 SO, Bakersfield, CA. X Part A[]Slte-Speclflc Health and Safety Plan Information May, 1 99B SITE-SPECIFIC HEALTH AND SAFETY PROGRAM FORMS Based on the site-specific hazard analysis, the following programs must be implemented and the accompanying forms, found in the appendices ofthe Part B RP HASP, completed. Attach all completed forms required for this project to the end of this Part A RP HASP. ...."",.........................", ", "'..""'..........----. .....".,._..,-,....................",....,.,-".....,.................", ....."............-...............""...".. ................ ..."".........--............."...".""'" ..... ................. ~i~~~~~fi~i~e[9gtim< LockoutfTagout Air Monitoring Noise Monitoring Excavation and Trenching Yes .........._---.------.-..............._----- ,............. .......................,._,............................. .............. ....-.....................".......................... .."................ .....-........................".. ......................, .............. ....·.........e~~~RPHÂ~p#pp!Hªi*<. C E E F G H J Yes Yes Confined Space Entry Hot Work Permit Daily Safety Meeting FLUOR DANIEL GTI ~ rev10-29 Retail Petroleum Health and Safety Plan - Southland 22150, Bakersfield, CA. xi Part A[]Slte-Speclflc Health and Safety Plan Information May, 1 SS8 AGREEMENT AND ACKNOWLEDGEMENT SHEET Fluor Daniel GTI personnel have the authority to stop field activities at this site if any activity is not performed in accordance with the requirements ofthis RP HASP. All Fluor Daniel GTI project personnel, subcontractor personnel, and visitors are required to sign the Agreement and Acknowledgement Sheet prior to conducting field activities at this site. 1. I have reviewed and fully understand Part A of this RP HASP and my responsibilities. 2. I am aware that additional, standardized health and safety information is available for me in Part B of this RP HASP. 3. I agree to abide b the rovisions of the RP HASP. Name Si nature Com an Date Name Signature Date Com an Name Signature Com any Date Name Signature Com an Date Name Signature Date Com any FLUOR DANIEL Gfl ~ rev10-29 Retail Petroleum Health and Safety Plan - Southland 221 SO, Bakersfield, CA. xii Part A[]Slte-Speclflc Health and Safety Plan Information May, 199B 1. I have reviewed and fully understand Part A of this RP HASP and my responsibilities. 2. I am aware that additional, standardized health and safety infonnation is available for me in Part B ofthis RP HASP. 3. I agree to abide b the rovisions of the RP HASP. Name Signature Com any Date Name Signature Com an Date Name Signature Com an Date Name Signature Date Com any Name Signature Date Com an Name Signature Date Com an FLUOR DANIEL GTI §ì rev10-29 Retail Petroleum Health and Safety Plan - Southland 221 SO, Bakersfield, CA. xiii Part ADSlte-Speclflc Health and Safety Plan Information May, 1 SS8 1. I have reviewed and fully understand Part A of this RP HASP and my responsibilities. 2. I am aware that additional, standardized health and safety information is available for me in Part B of this RP HASP. 3. I agree to abide b the rovisions of the RP HASP. Name Si nature Com an Date Name Si nature Com an Date Name Si nature Com an Date Name Si nature Com an Date Name Si nature Com an Date Name Si nature Com an Date FLUOR DANIEL OTI ~ rev10-29 Retail Petroleum Health and Safety Plan - Southland 221 SO. Bakersfield. CA. xiv Part A[]Slte-Speclflc Health and Safety Plan Information May. 1 SS8 1. I have reviewed and fully understand Part A of this RP HASP and my responsibilities. 2. I am aware that additional, standardized health and safety information is available for me in Part B of this RP HASP. 3. I agree to abide by the provisions of the RP HASP. Name Si nature Company Date Name Si nature Com an Date Name Si nature Com any Date Name Signature Com an Date Name Si nature Com an Date Name Signature Date Com an rev10-29 FLUOR DANIEL GTI ~ Retail Petroleum Health and Safety Plan - Southland 22150, Bakersfield, CA. XV Part A[]Slte-Speclflc Health and Safety Plan Information May, 199B 1. I have reviewed and fully understand Part A of this RP HASP and my responsibilities. 2. I am aware that additional, standardized health and safety information is available for me in Part B of this RP HASP. 3. I agree to abide b the rovisions of the RP HASP. Name Signature Com any Date Name Signature Com an Date Name Si nature Com an Date Name Com any Si nature Date Name Signature Date Com an Name Com any Si nature Date FLUOR DANIEL GTI ~ rev10-29 Retail Petroleum Health and Safety Plan - Southland 22150, Bakersfield, CA. xvi Part ADSlte-Speclflc Health and Safety Plan Information May, 1998 1. I have reviewed and fully understand Part A of this RP HASP and my responsibilities. 2. I am aware that additional, standardized health and safety information is available for me in Part B of this RP HASP. 3. J agree to abide b the rovisions of the RP HASP. Name Si nature Com an Date Name Signature Date Com an Name Si nature Com any Date Name Signature Com any Date Name Si nature Com an Date Name Si nature Com an Date FLUOR DANIEL GTI ~ rev10-29 ( ( I \ ,> '. ... '" . FLUOR DANIEL GTI, INC. RETAIL PETROLEUM HEALTH AND SAFETY PLAN PART B - STANDARDIZED REFERENCE INFORMATION ._,...",'. ,"w~~,,,v~·. '-_"_'~ "~"~',,^._.,,~ ,~-.._"w__",~,__ ~_<"",_" _~ _ _""'_~. ~~, ...^.......~, _~ ~.....~"",o _W'~~"""~~'''_''_'''_~_--W",~''_~,.__""~,,, RP HASP The information in this RP HASP is provided solely for the protection of the health and safety of Fluor Daniel GTI employees and subcontractors working under the direct supervision and control of Fluor Daniel GTI on this project. Fluor Daniel GTI assumes no liability for, or responsibility to, any other parties for the accuracy or completeness of the information contained herein for any use or reliance upon this HASP by any other party. Copyright~ Fluor Daniel GTI All Rights Reserved rev 1 0·29 FLUOR DANIEL GTI ~ ( 3.0 4.0 i \ 5.0 6.0 ,-...._~..:.:; Retail Petroleum Health and Safety Plan Part 8 - Standardized Reference Information ii (Date) CONTENTS PART A - SITE-SPECIFIC HEALTH AND SAFETY PLAN INFORMATION Site Emergency Form . , . . . . . . . , . . ' , , . . . . , . . . . . . . . . . . . , , , , , , . , , , , . . . . . . . . . . , .' v Hospital Location Map .,..........,.....'.,..,.,.........,..,.....".. ,'. . , . .. vi Preface ",."...,'........,...',."..........".........".,......,..." vii Hazard Analysis Matrix ......" , . . . . . . , . , , . , . . . , , . . . , . . . . . . . . . , , . . . . . . , , . . . .. viii Site-Specific Health and Safety Program Forms ... . . . . , . . . , . , . . . . . , . . , . . . . . . ., . . . , .. ix Agreement and Acknowledgment Sheet , . . . . . , . . , , . . , . . . . , . . . . . . , , , . . . . . . , , . . . . . .. x PART B - STANDARDIZED RETAIL PETROLEUM HEALTH AND SAFETY PLAN INFORMATION List of Acronyms ..........................................,........... xvi 1.0 INTRODUCTION.......,..".,.....,.......,.................·....... 2.0 PETROLEUM PRODUCTS HAZARD ANALYSIS ,.................,.......... 4 2.1 Retail Petroleum Contaminants ........................,........... 4 2.2 Petroleum Products Emergency & First Aid Information ......,........... 5 HAZARD IDENTIFICATION AND CONTROL. . . . . . . . . . . . . . . . . . . . . . . . . . . '. . . . . 6 AIR MONITORING AND NOISE MONITORING PLANS ........................ 13 4,1 Air Monitoring ..................................,.............. 13 4.2 Noise Monitoring ...,...............,..................,........ 17 CONFINED SPACE ENTRY. . . . . . . . . ., . . . . . . . . . . . . . . . . . .0. . . . . . . . . . . . . . .. 19 CHEMICAL HAZARD CONTROL ..................................,..,... 20 6.1 ' Chemical Handling Procedures .......,.,......................,... 20 6,2 PPE............."..,........,.............................. 21 6.3 Site Control: Work Zones ..,.....,..............,................ 22 6.4 Decontamination Procedures ....... , . . . . . . . . . . . . . . . . . . . . . . . . . . . , .. 23 6,5 Example Decontamination Diagram ...............,.................. 24 7,0 CONTINGENCY PLANS AND FIELD COMMUNICATIONS .,..........,............. 25 7.1 Evacuation ...........,.........,........"'....,...."......,,.... 25 7.2 Medical Emergency . , . " . . . , . , , . . . , . . , . . . . . . . , . . . . . . . . . . , . . . , , . . . . . .. 25 7.3 Fire Emergency. , . . , . . . , , . . . , . . . . , . , . . . . . , . . . . , . . . . . , . . . . . , . . . . . . . ,. 25 7.4 Spill Release , , . . . . . . , . , . . . , , . , . . , . . . . . . . . . . . . . . . . . . . . , . , . . . . , . . , . .. 26 7.5 Field Communications. , . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . .. 27 i j \. rev10-29 FLUOR DANIEL Grl ~ " " ,.,- -; -:~,' :-:. "~'>:'.' . .. "'-" . " ".. Retail Petroleum Health and Safety Plan Part B - Standardized Reference Information xvi (Date) ( '. . LIST OF ACRONYMS r I \ ACGIH ANSI BTEX BWL CET CFR CGI CHMM CIH COHN CNS CPR CRZ CSP EMS EPA EZ FID GFCI HASP HBV HEPA HR HSM HSR HSS IDLH IP JSA LO ITO LEL MD mglL MSDS NA NBR NEC NIOSH NFPA NRR OM OSHA OT rev10·29 American Conference of Governmental Industrial Hygienists American National Standards Institute Benzene, Toluene. Ethylbenzene. and Xylene Body Water Loss Certified Environmental Trainer Code of Federal Regulations Combustible Gas Indicator Certified Hazardous Materials Manager Certified Industrial Hygienist Certified Occupational Health Nurse Central Nervous System Cardio-pulmonary Resuscitation Contaminant Reduction Zone Certified Safety Professional Emergency Medical Services Environmental Protection Agency Exclusion Zone Flame Ionization Detector Ground Fault Circuit Interrupter Health and Safety Plan Hepatitis B-Virus High Efficiency Particulate Air-Purifying Heart Rate Health and Safety Manager Health and Safety Representative Health and Safety Specialist Immediately Dangerous to Life or Health Ionization Potential Job Safety Analysis LockoutfT agout Lower Explosive Limit Medical Director Milligrams per Liter Material Safety Data Sheet Not Available Nitrile Butyl Rubber National Electric Code National Institute for Occupational Safety and Health National Fire Prevention Association Noise Reduction Rating Operations Manager Occupational Safety and Health Administration Oral Temperature FLUOR DANIEL GTI ~ Retail Petroleum Health and Safety Plan Part B .. Standardized Reference Information 1 (Date) fe....·· ( 1.0 INTRODUCTION This Retail Petroleum Health and Safety Plan (RP HASP) is written to ensure the well-being of all Fluor Daniel GTI, Inc. (Fluor Daniel GTI) field personnel and the community surrounding the site, Accordingly, project staff and approved Fluor Daniel GTI subcontractors must follow the pQlicies and procedures established in the RP HASP. The RP HASP contains three sections: Parts A, B, and C, Part A contains site-specific emergency information, hazard analysis, and project information that can be used in conjunction with the series of specific, laminated health and safety reference cards in Part C. Part B contains standardized guidance procedures and practices to follow-for all retail petroleum operations. It is intended to be used as a reference document to provide additional information to support Parts A and C of the RP HASP, Part C contains a series of task-specific guidelines in the form of laminated work sheets that are to be used as "crib sheets" for preparing and presenting the daily tailgate safety meetings at the job site. ( All work will comply with the Occupational Safety and Health Act (OSHA) standard, "Hazardous Waste Operations and Emergency Response" (29 CFR 1910,120), and other federal, state, and local procedures that require the development and implementation of a HASP. Generation of this document certifies that the workplace has been evaluated for the hazards as described, A hazard assessment has been performed and the adequacy of the personal protective equipment (PPE) selected is hereby certified per 29 CFR 1910,132(d) and is duty noted by the signature(s) and date appearing on the cover page of this document. This Part of the HASP contains standardized information to address the health and safety issues associated with projects containing petroleum product contamination found on retail petroleum, bulk terminal, or refinery operations that typically involve the following activities, · Field Survey and/or Walkover Aquifer Pump Test Drilling, Boring, Soil Sampling Tank Removal Well Installation Excavation and Trenching Well Monitoring and Maintenance Confined Space Entry Soil Gas Survey Groundwater Sampling Remediation System Pilot Testing Remediation System Installation Remediation System Operation and Maintenance · · · · · · · · · · · · rev 1 0·29 FLUOR DANIEL GTI ~ ... .. , Retail Petroleum Health and Safety Plan Part B - Standardized Refefence Information 3 (Date) ( Table 1, Health and Safety Programs Activity Description Action Medical · The program tracks the · Medical examinations and consultations are Surveillance physical condition of the completed for all employees prior to - Company's employees in assignment, annually, upon termination, and in compliance with Department of the event of injury and/or illness resulting from Transportation (DOT) regulations exposure at the work site. and OSHA standards, and other customer requirements. · Specific components of the medical surveillance program are described in Fluor Daniel GTl's Health and Safety Procedure Manual, section 5. Training · Training requirements and · Field personnel must complete a minimum - programs comply with the OSHA of 40 hours of hazardous waste activity Hazardous Waste Operations and instruction. Emergency Response regulation, 29 CFR 1910.120, · Field personnel must complete a minimum of three days supervised field instruction. · Specific components of the Fluor Daniel GTI training program · Field personnel assigned to the site will also are described in Fluor Daniel receive 8 hours of refresher training each year. GTI's Health and Safety Procedure Manual, section 8. · On-site managers and supervisors directly responsible for employees engaged in hazardous waste operations receive an additional 8 hours of supervisory training. · Field personnel assigned to site also receive . first aid/CPR and blood borne pathogen training. rev 1 0-29 FLUOR DANIEL Grl ~ ._'-~ Retail Petroleum Health and Safety Plan Part B - Standardized Reference Information ... 5 (Date) (' ... 2.2 Petroleum Products Emergency First Aid Information EMERGENCY FIRST AID FIRST AID FOR PETROLEUM HYDROCARBON EMERGENCIES Ingestion: DO NOT INDUCE VOMITING. Call Poison Control; follow instructions. Administer cardiopulmonary resuscitation (CPR), if necessary. Seek medical attention. Inhalation: Remove person from contaminated environment. DO NOT ENTER A CONFINED SPACE TO RESCUE SOMEONE WHO HAS BEEN OVERCOME UNLESS PROPERLY EQUIPPED AND A STANDBY PERSON IS PRESENT, Administer CPR if necessary. Seek medical attention. Skin Contact: Brush off dry material. remove wet or contaminated clothing, Flush skin thoroughly with water. Seek medical attention if irritation persists, Eye Contact: Flush eyes with water for 15 minutes, Seek medical attention, Exposure Symptoms: Headache, dizziness, nausea, drowsiness, irritation of eyes, nose, throat, breathing difficulties, f Contingency Plan: Report incident to PM and HSR after emergency procedures have been implemented. RESPONDER MUST HAVE A CURRENT CERTIFICATE TO ADMINISTER FIRST AID OR CPR 1, SUNey the situation, Do not endanger your own life, DO NOT ENTER A CONFINED SPACE TO RESCUE SOMEONE WHO HAS BEEN OVERCOME UNLESS PROPERLY EQUIPPED AND A STANDBY PERSON IS PRESENT. 2. Call 911 (if available) or the fire department IMMEDIATELY, Explain the physical injury, chemical exposure, fire, or release. 3, Decontaminate the victim without delaying life-saving procedures. 4, If the victim's condition appears to be noncritical, but seems to be more severe than minor cuts, he/she should be transported to the nearest hospital by trained Emergency Medical SeNices (EMS) personnel: let the doctor assume the responsibility for determining the severity of the injury, If the condition is obviously serious, EMS must transport the victim. 5. Notify the PM and the HSR. Complete the Fluor Daniel GTI Preliminary Incident Report within 24 hours rev 1 0-29 FLUOR DANIEL GTI ~ , , " .', ,', . . ,-.' "...,.., .,.... ., ,. Retail Petroleum Health and Safety Plan Part 8 - Standardized Reference Information 7 (Date) ( Table 3, Potential Hazards and Controls (continued) Potential Hazard Control . Fall Protection 1. Asses the work to determine if there is a potential for falling. 2. Make a determination of the distance of the potential fall. 3. A fall protection system must be used for potential falls greater than 6 feet. 4. Consult a competent person, such as the HSR, regarding the applicability requiring fall protection and what type of protection systems should be used. 5, Inspect all fall protection equipment and anchoring points prior to their use, Vault Entry 1. Ensure personnel assigned meet CSE training requirements, 2. Completé CSE Hazard Analysis Form in Appendix G. 3, Complete CSE permit. Post sign. 4. Ensure pre-entry CSE safety meeting is conducted. 5, Remove vault cover using proper lifting techniques, 6. Promote natural ventilation by opening the space to fresh air, if needed utilize mechanical purge ventilation, 7. Conduct remote air monitoring prior to entry. 8, Attendant can act as CSE SupeNisor and must be present at CSE entry point all times when entrant is in CSE. 9, Access work for fall hazards and ensure provisions for non-entry rescue have been met. 10. Enter only when safe; conduct continuous air monitoring, Utility Lines 1, Contact Dig Safe to have utility lines marked prior to Contact excavation/trenching, 2, Refer to site drawings or customer inteNiews if on private property for utility locations, 3. Hand dig to 5 feet down and 5 feet each side of utility marker to avoid breaking utility lines, 4. Refer to Appendix F for Underground Utility Contact Prevention Management Plan, Inclement 1. Stop outdoor work during electrical storms, hail storms, and other Weather extreme weather conditions such as extreme heat or cold temperatures, 2, Take cover indoors or in vehicle. 3, Listen to local forecasts for warnings about specific weather hazards such as tornados, hurricanes, and flash floods, rev 1 0-29 FLUOR DANIEL GTI ~ Retail Petroleum Health and Safety Plan Part B . Standardized Reference Information 9 (Date) ( Table 3. Potential Hazards and Controls (continued) Potential Hazard Electric Shock Physical Injury " Back Injury Heat Stress rev10-29 Control 1. Maintain appropriate distance from overhead utilities; 20-foot minimum clearance from power lines required; 10-foot minimum clearance from shielded power lines, Use ground-fault circuit interrupters as required. Perform LO/TO procedures using form in Appendix C, Use three-pronged plugs and extension cords. Contact your local underground utility-locating service. Follow code requirements for electrical installations in hazardous locations. - 2, 3, 4, 5, 6, 1, 2, Wear hard hats and safety glasses when on-site, Maintain visual contact with the equipment operator and wear orange safety vest when heavy equipment is used on-site. Avoid loose-fitting clothing (driller and driller's helper). Prevent slips, trips and falls; keep work area uncluttered, Keep your hands away from moving parts (i.e., augers), Test the emergency shutoff switch on the drill rig daily, 3, 4, 5. 6, 1. Use a mechanical lifting device or a lifting aid where appropriate. 2, If you must lift, plan the lift before doing it. 3. Check your route for clearance, 4, Bend at the knees and use leg muscles when lifting, 5, Use the buddy system when lifting heavy or awkward objects. 6. Do not twist your body while lifting, 1, Increase water intake while working, 2, Increase number of rest breaks and/or rotate workers in shorter work shifts. 3. Watch for signs and symptoms of heat exhaustion and fatigue, 4, Pla.n work for early morning or evening during hot months. 5, Use ice vests when necessary, 6, Rest in cool, dry areas, 7, In the event of heat stroke. bring the victim to a cool environment and initiate first aid procedures, Immediately seek medical attention, 8, Refer to Appendix I for specific procedures to follow and signs and symptoms of heat stress, FLUOR DANIEL GT' ~ · -'...'- .. -.. Retail Petroleum Health and Safety Plan Part B - Standardized Reference Information 11 (Date) (' Table 3. Potential Hazards and Controls (continued) I l Potential Hazard Control - Ladders 1. Assess work areas for fall hazards, 2, Make sure ladder rungs are sturdy and free of cracks. 3. Use ladders with secure safety feet. 4. Pitch ladders at a 4:1 ratio. 5. Secure ladders at the top when possible. 6. Do not use ladders for access to air stripper towers above six feet - use aerial lift. 7, Use non-conductive ladders near electrical wires. Fire Control 1. Smoke only in designated areas. 2, Keep flammable liquids in closed containers. 3, Keep site clean; avoid accumulating combustible debris such as paper. 4. Follow Hot Work Safety Procedures when welding or performing other activities requiring an open flame. 5, Isolate flammable and combustible materials from ignition sources. 6. Ensure fire safety integrity of equipment installations according to NEC specifications. Static Electricity 1, Do not create static discharge in flammable atmospheres. 2, Electrically bond and ground pumps, transfer vessels, tanks, drums, bailers and probes, when moving flammable liquids, 3, Electrically bond and ground vacuum trucks and the tanks they are emptying, 4, Do not splash fill containers with flammable liquids, Drilling/Boring 1. Driller and helper must be present during all active operations. Operations 2, Driller helper and other site personnel must know location of emergency shut off switch and test it daily for proper function. 3. Unauthorized personnel must be kept clear of drilling rig, 4, Area of drilling operation must be cordoned off/barricaded, 5. When hazardous conditions are deemed present, operation must be shut down, Well Installation, 1. Wear appropriate PPE to avoid skin, eye, and inhalation contact with Well contaminated groundwater and/or soil. Development, 2. Stand upwind when conducting tasks and minimize possible inhalation Well Gauging, exposure: especially when first opening monitoring wells. Well Bailing, 3. Conduct air monitoring to determine level of respiratory protection, SoiljGround- 4, Utilize engineering controls such as portable venturi air movers to draw water Sampling away or blow away chemical vapors. :ev 10·29 FLUOR DANIEL GTI ~ Retail Petroleum Health and Safety Plan Part B - Standardized Reference Information 13 (Date) (' 4.0 AIR MONITORING AND NOISE MONITORING PLANS 4.1 Air Monitoring Air monitoring must be performed on all sites in accordance with Fluor Daniel GTI practices, Organic vapor concentrations are monitored in the field with a flame ionization detector (FID) or photoionization detector (PID) with a 10.2 eV lamp, Flammable vapor and/or gas are monitored with an oxygen/combustimeter (~/LEL) real-time instrument. Airborne dust/particulate concentrations are measured with a real-time aerosol monitor (using a scattered light photometric sensing cell) when there are visible signs of airborne dust (sustained >5 minutes) and engineering controls. such as wet methods prove ineffective. Detector tube grab sampling can be conducted as an option for benzene. when results of non-specific real-time monitor action levels are reached or when their presence is suspected. All readings are taken in the worker's breathing zone to determine whether an action level has been met and/or exceeded. Readings must be sustained for 5 minutes for upgrade in PPE, Air monitoring results must be documented on the Vapor Monitoring Form (Appendix E). ATTENTION: Site personnel assigned responsibility to conduct air monitoring must have been trained in air monitoring equipment operation and calibration prior to its use. Air monitoring action levels (Table 4) have been developed by Fluor Daniel GTI to indicate the chemical concentrations in the breathing zone that require an upgrade in level of PPE. Option 1 air monitoring schedule involves conducting detector tube sampling for benzene to verify its presence, Option 2 air monitoring schedule assumes the presence of benzene and requires automatic upgrade in respiratory protection. All workers on-site who may be exposed to petroleum product vapors must have been properly fitted with PPE (i.e.. respirators) and have been trained in their use (i.e., donning and doffing), The action levels have been derived from the estimated concentration, corrected to PID/FID response factors at which it is expected that benzene could be present at 0.5 ppm in air. Air monitoring measurements will be taken in the breathing zone of the worker most likely to have the highest exposure, Transient peaks will not automatically trigger action. Action will be taken when levels are consistently exceeded in a 5-minute period, The action levels apply to all tasks performed on this site, Guidelines for frequency of air monitoring are presented in Table 6, Job tasks that require air monitoring are listed in Table 5, Engineering controls such as the venturi air mover (supplied by compressed air) to exhaust or dilute vapors emanating from monitoring wells or when conducting intrusive activities can be utilized as a means to downgrade PPE requirements (Level C to D), \ rev 1 0·29 FLUOR DANIEL GTI §;j .'. Retail Petroleum Health and Safety Plan Part B - Standardized Reference Information 15 (Date) ( Table 4, Option 2, Air Monitoring Action Levels - Without Detector Tube Use Instrument I Function Measurement Action Photoionízation Detector (PID) 10.2 eV lamp Flame Ionization Detector (FID) Measures total organic vapors Conduct air monitoring for Background...... 10 ppm Level D required, petroleum products using PID or FID - detector tubes are not > 10 -+ 75 ppm Upgrade to Level C - Option to use half·mask required to be used. cartridge respirator, > 75 -+ 250 ppm Upgrade to Level C. Must use full-face cartridge respirator, > 250 -+ 500 ppm Upgrade to Level B. Contact PM and HSR for guidance and approval. > 500 ppm Stop work, Contact PM and HSR for guidance and approval. Oxygen/Combustimeter (OiLEL) Measures oxygen level (ü¿) and LEL A decrease O2 reading of 0,1 O2 = 20,9 % Acceptable, percent (e.g" 20.9 percent to 20.8 percent) actually represents °2> 19.5 -+ 20,8 % Verify reasons for 02 depletion with appropriate air a change in the total air monitoring instrumentation before work continues, envelope of approximately Utilize appropriate engineering controls/PPE once 0.5 percent or 5,000 ppm. This atmospheric contaminants have been verified. represents little hazard if the 02 > 20,9 -+ 22 % Verify reasons for O2 enrichment before entering area. displacing gas is inert; if the displacing gas is Utilize appropriate engineering controls/PPE to control toxic/flammable/ 02 enrichment atmosphere. reactive, such a concentration 02 > 22 % leave area immediately; this atmosphere is represents a real hazard, extremely flammable. Notify PM or HSR for guidance. O2 < 19.5% leave area immediately; this atmosphere is oxygen deficient. Verify reasons for O2 depletion with appropriate air monitoring instrumentation before work continues. Utilize appropriate engineering controls/PPE once atmospheric contaminants have been verified, LEL<10% Acceptable conditions, Continue normal activity. LEL> 10% Leave area immediately, Contact PM or HSR for guidanc~ on venting and other safety measures. 'Note: Instruments must be calibrated according to manufacturer's recommendations. I·' ; 'e'l 1 0-29 FLUOR DANIEL GTI ~ Retail Petroleum Health and Safety Plan Part B - Standardized Reference Information 17 (Date) c····· Table 6, Air Monitoring Frequency Guidelines Conduct periodic monitoring when: 1. It is possible that an immediate danger to life or health (IDLH) or a flammable atmosphere has developed. or 2. There is an indication that exposures may have risen over permissible exposure limits or published exposure levels since the last monitoring. Look for a possible rise in exposures associated with these situations: · Change in site area - work begins on a different section of the site · Change in contaminants - handling contaminants other than those first identified · Visible signs of particulate exposure from intrusive activities such as drilling/boring and excavation · . Perceptible chemical odors or symptoms of exposure · Change in on-site activity - one operation ends and another begins · Handling leaking drums or containers · Working with obvious liquid contamination (e,g" a spill or lagoon) Conduct air monitoring when the possibility of volatilization exists (such as with a new monitoring well or a well containing known product), Conduct air monitoring on a well at a site known to have little contamination (documented by experience or laboratory data), only if an odor emanates from the well. 4,2 Noise Monitoring Noise monitoring must be performed in accordance with Fluor Daniel GTI practices, Noise levels are monitored in the field with either a Type I or Type II Sound Level Meter (SLM), Noise dosemeter readings can also be obtained to determine the percent (%) noise dose, Noise levels and % dose measured are then compared to limits listed in OSHA standard 29 CFR 1910.95, Hearing Conservation. Action levels listed in Table 7 will trigger upgrade in PPE to include appropriate bearing protectors (muffs or plugs) or initiate possible noise control engineering. Noise monitoring equipment must be calibrated prior to use each shift and checked at the end of the shift to determine accuracy. Noise readings must be recorded on data form in Appendix E, Noise Monitoring Form. Selection of hearing protection must match the employee's needs and the ability to attenuate noise below 90dB(A). Each hearing protection device (muff or plugs) has a Noise Reduction Rating (NRR) rev10-;2S FLUOR DANIEL GTI ~ Retail Petroleum Health and Safety Plan Part B . Standardized Reference Information 19 (Date) ( 5.0 CONFINED SPACE ENTRY PROCEDURES Site work may require personnel to enter confined spaces, No Fluor Daniel GTI employee or subcontractor shall enter an area identified as a confined space without using the CSE procedures described in Appendix G and the site-specific entry procedures presented -in Appendix G. The purpose of the CSE procedure is to protect employees from potentially hazardous environments and to facilitate immediate rescue in an emergency situation, A CSE Permit must be posted at the entrance to each confined space. \ rev10·29 FLUOR DANIEL GTI ~ Retail Petroleum Health and Safety Plan Part B - Standardized Reference Information 21 (Date) ( 6.2 PPE Based on the hazards that may be encountered during site activities, PPE as follows was selected, Only PPE that meets the following American National Standards Institute (ANSI) standards are to be worn. · Eye protection - ANSI Z87,1-1989, · Head protection - ANSI Z89.1-1986, and · Foot protection - ANSI Z41-1991. Employees must maintain proficiency in the use and care of PPE that is to be worn. Typically this is covered during formal and informal refresher training sessions presented by Fluor Daniel GTI. Specific PPE requirements are reviewed during Daily Tailgate Safety Meetings, Level D is the minimum acceptable level for sites where petroleum hydrocarbons are the contaminants of concern. Upgrade to Modified Level D occurs when the possibility of contact to the skin or work uniform can occur from contaminated media, Upgrade to Level C will occur when results of air monitoring reveals action levels have been exceeded. Upgrade to Level B occurs when results of air monitoring reveals action levels have been exceeded, and site personnel meet training requirements. Wear hearing protection when in areas where high noise levels are generated, ,,- ( \, Table 9. PPE Level Requirements Level 0 · Work uniform · Steel-toed boots · Approved safety glasses or goggles · Hard hat · Fluorescent vest, when vehicular traffic is on or adjacent to the site · Nitrile gloves for water sampling handling Modified Level 0 · Level 0 · PE-coated Tyvek® suit, NBR outer, and nitrile inner gloves if skin contact with contaminants is possible, · Chemical resistant booties, · Hearing protection (muffs andjor plugs). Level C · Level 0 and Modified Level 0, · NIOSHjMSHA-approved full-face or half-face respirator with organic vapor jacid gas HEPA cartridges Level B · Level 0 and Modified Level 0 · NIOSHjMSHA approved full-face positive pressure demand supplied air respirator, either airline or self contained, Prior to using, all equipment must be inspected to ensure proper working condition. revl0-29 FLUOR DANIEL GTI ~ Retail Petroleum Health and Safety Plan Part B - Standardized Reference Infofmation 23 (Date) ( 6.4 Decontamination Procedures Operations conducted at this site have the potential to contaminate field equipment and PPE. To prevent the transfer of contamination to vehicles, administrative offices and personnel, the procedures presented in Table 11 must be followed. Table 11, Decontamination Procedures Item Examples Procedure Field Equipment Bailers, interface probes, hand Decontaminate with a solution of tools, drill augers, and detergent and water; rinse with water miscellaneous sampling prior to leaving the site. equipment Protect from exposure by covering with disposable covers such as plastic to minimize required decontamination activities. Disposable PPE Tyvek® suits, inner latex gloves, Dispose of according to the respirator cartridges requirements ofthe client and state and federal agencies. Change out respirator cartridges _on a daily basis and dispose accordingly. Nondisposable PPE Respirators Wipe out respirator with disinfecting pad prior to donning, Decontaminate on-site at the close of each day with a solution of an approved sanitizing solution. Boots and gloves Decontaminate outside with a solution of detergent and water; rinse with water prior to leaving the site, Protect from exposure by covering with disposable covers such as plastic to minimize required decontamination activities, rev 10-29 FLUOR DANIEL GTI § Retail Petroleum Health and Safety Plan Part B . Standardized Reference Information 25 (Date) C' 7.0 CONTINGENCY PLANS AND FIELD COMMUNICATIONS Table 12 (Sections 7.1 - 7.4) presents contingency plans for potential emergency situations. Table 12, Contingency Plans for Site Emergencies (, Situation Action 7.1 Evacuation 1. Immediately notify all on-site personnel of an emergency requiring evacuation, 2, Leave the dangerous area and report to a pre-designated rally point. 3. Notify EMS, as appropriate, 4. Account for all personnel. 5, Contact the PM and the HSR as soon as possible. 6, Maintain site security and control measures for community safety until emergency responders arrive. 7.2 Medical 1. SUNey the situation: Emergency Do not enter an area that may jeopardize your safety. · Establish the patient's level of consciousness, · Call for help, · Contact EMS and inform them of patient's condition, 2. Primary Assessment (patient unconscious) · Arousal · Airway · Breathing · Circulation Only trained personnel should perform CPR or First Aid. 3, Secondary Assessment (patient conscious) a Check for bleeding: control with direct pressure, · Do not move patient (unless location is not secure), a Monitor vital signs, · Provide First Aid to the level of your training, · Contact the PM and HSR as soon as possible, · Document the incident on Fluor Daniel GTI's Preliminary Incident Report (PIR~ form. 7,3 Fire 1. Evacuate the area. Emergency 2, Notify EMS, 3, Extinguish small fires with an all-purpose extinguisher. 4, Contact the PM and HSR, 5. Document the incident using the PIR form. i \ rev10·29 FLUOR DANIEL GTI ~ Retail Petroleum Health and Safety Plan Part B - Standardized Reference Information 27 (Date) ( 7.5 Field Communications Cor:nmunications at the work site can be accomplished by verbal and/or non-verbal means to ensure contact with all Fluor Daniel GTI and subcontractors, Verbal communication can be impacted by the on-site background noise and while wearing respiratory protection. Table f3 lists the type of communication methods and equipment to use, depending on site conditions. Communication equipment must be checked daily to ensure proper operation and all project personnel must be initially briefed on the communication methods prior to starting work and reviewed in Daily Tailgate Safety Meetings as a reminder. Table 13, Field Communication Methods Communication Device Type of Communications Signal Telephone On~Site Emergency notification I nitiate phone call using or applicable emergency numbers Cellular Telephone Two-Way Radio Emergency notification among Initiate radio communication site personnel with Code Red message Compressed Air Horn Hailing site personnel for non- One long blast, one short blast emergency Compressed Air Horn Hailing site personnel for Three long continuous blasts emergency evacuation Visual Hailing site personnel for Arms waved in circle overhead distress, need help Visual Hailing site personnel for Arms waved in criss-cross over emergency evacuation head Visual Contaminated air/strong odor Hands clutching throat Visual Break, lunch, end of day Two hands together, break apart 'ev10-29 FLUOR DANIEL GTI ª APPENDIX A AMENDMENT SHEET VlSITORITRAlNEE GUIDELINES TRAlNE~OBSERVERAGREEMENTFORM FLUOR DANIEL GTI, INC. RETAIL PETROLEUM AMENDMENT SHEET Project Name: Project Number: PM: Location: Changes in field activities or hazards: Approved by: Project Manager Date VlSITORITRAlNEE GUIDELINES Fluor Daniel GTI is committed to providing a safe environment on all work sites for visitors, trainees, employees, and/or passersby. In order to accomplish this, the following guidelines must be followed. 1. VISITORS Any person not actively participating in the work at the site is regarded as a "visitor" and must follow Fluor Daniel GTI's visitorltrainee guidelines. Visitors must be accompanied by a representative while on-site. The site must be marked with signs, placards, and/or barricades to designate hazardous boundaries. Visitors will not be allowed on any site that is not adequately marked. 2. TRAINEES Trainees are employees of Fluor Daniel GTI who have not yet completed Fluor Daniel GTl's required safety training program. New hires and in-house company transfers will be considered trainees until safety training requirements are met. Trainees will be informed of restrictions by their supervisor and must abide by them before visiting active sites. Trainees will be permitted to visit Fluor Daniel GTI sites as observers as long as the following conditions are met: · Trainees are supervised at all times while observing on-site. · Trainees do not perform work functions of any type while on-site. · Trainees do not handle any equipment, tools, and/or supplies while on-site. · Trainees do not enter any hazardous or hot zone (HZ) or confined space areas while on-site. Supervisors will be responsible for informing trainees of the above conditions and for ensuring that the conditions are met. Supervisors will also ensure that trainees will not be asked to violate the conditions listed above. A Trainee/Observer Agreement Form must be signed by both the trainee and the supervisor and placed on file in the Regional Human Resources representative. Infractions of the above agreement will be viewed as extremely serious and will be subject to discipline up to and including tennination for either the trainee and/or supervisor. T~NEBOBSERVERAGREEMENTFORM Fluor Daniel GTI is committed to providing a safe working environment for all employees, In addition, Fluor Daniel GTI will comply with OSHA requirements for employee safety training prior to working on any hazardous site, The following section is to be filled out by trainee. Agreement between: and Fluor Daniel GTI. Name (printltype) SS# Because we have your safety in mind, you will be considered a trainee until all training criteria are met. This means you must complete all training requirements prior to peñorming work activities on-site. As a requirement of the training program, you will be asked to visit Fluor Daniel GTI sites as an observer. You must be supervised on all ofthese site visits. As an on-site observer trainee, your signature below indicates your agreement to these restrictions. You may not: 1. Peñorm work functions of any type, 2. Handle any equipmentltools and/or supplies of any type, 3. Enter any hazardous or HZ areas. I agree to adhere to the above conditions in all instances while on-site as a trainee/observer. Signature Date ------------------------------------------------------------------------------------------ This section is to be filled out by supervisor. As supervisor to the above trainee, I agree to the above restrictions and agree not to request himlher to peñorm activities contrary to those restrictions. Signature Date Attention Supervisor-Submit form to regional H.R. Representative. APPENDIX B PIR PIR GUIDELINES Person Completing Report Office Date Incident Date RUOIt DANIIL on ~ PRELIMINARY INCIDENT REPORT Incident Time: Location Home Dept, # __ _ _ _ Visiting Dept, # _____ Telephone ___" ___" ____ Person Involved in Incident Driver Name (if motor vehicle accident) Telephone___" ___- ____ Type of Incident: o Personal Injury/Illness o Chemical Exposure o Equipment Damage o Theft o Property Damage o Permit/Code Compliance o Near Miss Event o Unsafe Condition/Action o Fire/Explosion o SpilVRelease o Customer Incident o Newspaper/RadiolTV o other o Motor Vehicle Accident Assoc. Leasing Vehicle #: _________ VIN# If FDGTI vehicle, call Associates Leasing at 800-255-2607, Circle one based on Initial findings: Preventable/Non-preventable Personal injury 0 Yes 0 No (If no, go to next section) o First Aid Only o Hospitalization o Medical Treatment o Possible Injury, Not Confirmed Person Injured: o Fluor Daniel GTI Employee (If so, complete First Report of Injury) o Subcontractor o Customer/Public/other Nature of Injury, Illness or Exposure: Describe nature of Incident, how it occurred, who was involved, witnesses and possible causal factors: (AIIoeh _ _ W-..y) o First Report of Injury Attached o Police Report Attached Describe immediate actions taken and persons notified: (AIIoeh__Wnoe....y¡ Line Manager (Responsible for Follow-up) Office DISTRIBUTION Provide this report to the line manager immediately. Thè line manager is responsible for the proper distribution of the PIR form per the Incident Reporting Guide (see reverse side), Notify the Norwood Health and Safety Department of all Class II and III incidents immediately by phone at (800) 876-0647 Mailbox *11911 and fax a CODY of the PIR to (617)'769-9861 . Rev. 10/29 INCIDENT REPORTING GUIDE FWO. DAHilL on ~ ¡ii;i'lIiI1iiillilllllll!IIII!I!J!!III!I!II!I Illi!IJ,!¡I 1IIIi I..::n..:.i::i..:..::d..:.:::...:.·..:....:..::...:.·::00..:.·::...:.Þ>::.::..:....:..::...:....:....::.::....:.:.~.:....~:.:....:.::.::..:..:.....:..:.:..:....:..:.:...:......:..::.:._:.:.:..:....:.:...:..:.:...:.....::.:...::."....:...::.::..:....:::..:.9..:....:.:::.:..:.·.::.:..:..::...::.::...::.::1....:.:.::.1..:: .::...:·:.:....:.:...:.c..:.:~_,.·.....·:....I..~....g.....·.·.·.·.j~.......érit.....!..:....I...n....~.....:....r.g........::....:AM.........:....~.....l..............~...9.......I·.I.~.~e·.ø...·..r·...1.:·:.~.:~~.·.·.·.1.1.·.:.·........r..·....·:.·::~:~.·.·:·.·.·..-.w.·.·.e.;...:.·:¡~....i.·:....øo.::~...::.......1.i.i.:.:.......:..::I::..1:....:.:....::.::..::.:..::1:...:.. 1'~~;I"!~~~I~~~¡;AAffij~ªPii;) ~~~f ~~~. "'IU~~'_ Examples of 0 First Aid injury Incidents 0 Minor damage <$200 0 Non-reportable quantity spill 0 Near miss event 0 Unsafe condition or action Notification Actions " On-scene person notifies Line Manager* immediately by phone, 2, Provide PIR form to Line Manager and H&S Representative(s)"" immediately following the incident. 3. Line Manager investigates and follows up within 48 hours. o Personal injury (more than first aid to employee, subcontractor or public) o Any motor vehicle accident o Damage to property greater than $200 but less than $10,000 o Near miss incident that could have been very serious o Fire/Explosion o Non-emergency notification of regulatory agency is required o Served with subpoena (DO NOT ACCEPT; have subpoena delivered to CT Corporation System, our Registered Agent at 8QO.336..3376 or contact Legal Dept. In Norwood for additional assistance; no written investigation report is required for a subpoena.) 1. ori-scene person notifies Line Manager* immediately by phone. 2. Line Manager notifies the District Manager; Regional Manager, H&S Representative(s)"", Human Resources Representative, Corporate H&S Director and CEO with PIR form immediately following the incident. 3, Line Manager provides a detailed final investigation report within 48 hours after the original PIR is submitted, The final report must be submitted to District Manager, Regional Manager, H&S Representative(s), Human Resources Representative, Corporate Director H&S and CEO. Notes: If there Is a question as to Class I or II, follow Class II notification actions, o Possible Lost Work Day Injury o Hospitalization (of one or more persons) o Multiple Injury of employees, subcontractors or public o Unprotected chemical exposure o Death o Damage to property greater than $10,000 o Reportable quantity spill release o Emergency notification of regulatory agency o Regulatory agency response to incident site (inspection) o Contact or appearance of news or ublic media ,. On-scene person notIfies LIne Manager* immediately by phone. 2. Line Manager immediately notifies District Manager, Regional Manager, H&S Representa- tlve(s)"", Human Resources and Corporate Director H&S. PIR form is provided by fax immediately to (617-769-9861) addressed to Corporate Director H&S. 3. Incident management team conferences by phone and formulates an action plan, Rev, 10/29 All Class II and III incidents must be communicated to the Norwood Health and Safety Department immediately by phone at (800) 876-0647, Mailbox "11911; leave a voice message. This will activate a digital pager which Is carried by a company health and safety professional 24 hours a day. All lost-time injury events will be investigated by the respective Regional Manager with a final report to the CEO, "Line management = reporting manager, project manager, or operations/office manager. ""H&S representative = includes District H&S representatives and Regional H&S manager APPENDIX C LOCKOUTITAGOUTPROCEDURES This form is required to be completed when equipment ( i.e. electrical, mechanical, pneumatic, chemical, thermal) that requires maintenance, which has stored energy, could be set in motion, thereby causing an injury, To complete the form: · Identify all equipment O.e. blower motor, recovery pump, etc); · Describe the operation to be conducted O.e. change fuse, change motor brushes, etc.) · Describe the Lockout MethodlLocation O.e. circuit breaker panel outside remediation compound shed, using a single-pole, red plastic lockout clip) ~lii¡!¡¡lllfilllðU¥ifl_u¥ÞIBllbllll:!:':) ............................... ...................._...........................-...-...........................................-............................... --- .......... ........... t¡¿lötlitb_I*ið.ri¡·~\ ...........-.-..-..-.................................................... .....-..................................-........................... APPENDIX D MATERIAL SAFETY DATA SHEETS (MSDS) DEFINITIONS MSDS MSDS DEFINITIONS (TLV-TWA) Threshold Umlt Value - Time Weighted Average. The time-weighted average concentration for a normal 8-hour work day and a 40-hour work week, to which nearly all workers may be repeatedly exposed without adverse effect, (PEL) Time-weighted average concentrations similar to (and in many cases derived from) the Threshold Limit Values. (REL) Recommended Exposure Umlt as defined by NIOSH similar to the Threshold Limit Values. (IDLH) Immediately dangerous to life or health. Any atmospheric condition that poses an immediate threat to life, or which is likely to result in acute or immediate severe health effects. Oxygen deficiency is IDLH. (LEL) Lower Explosive Um;t. The minimum concentration of vapor in air below which propagation of a flame will not occur in the presence of an ignition source, (UEL) Upper Explosive Um;t. The maximum concentration of vapor in air above which propagation of a flame will not occur in the presence of an ignition source. Flash Point (FP) The lowest temperature at which the vapor of a combustible#liquid can be made to ignite momentarily in air. Vapor Pressure (VP) The pressure characteristic at any given temperature of a vapor in equilibrium with its liquid or solid form, often expressed in millimeters of mercury (mm Hg). Odor Threshold A property displayed by a particular compound. Low detection indicates a physiological sensation due to molecular contact with the olfactory nervous system (based on 50% of the population). Ionization Potential (IP) The amount of ionization characteristic a particular chemical compound displays, MSDS The following MSDS are for hazardous materials that will be encountered at this site, Contact your local HSR if you need additional information on these materials. APPENDIX E AIR MONITORING FORM DAILY CALIBRATION FORM NOISE MONITORING FORM Project Name: Project Number: Contaminants: Detector Ionization Tube Date Time Detector Explosimeter Readings Location Purpose Initials Readlna Readina (ppm) FID PID %LEL %02 Project Name Job Number rev10129 Instrument DAILY INSTRUMENT CALIBRATION CHECK FORM ID# ..................-..,..........,.... .. .................-..............., .... ........................................ - . . . . . . . - - - - - . . . . - . . . - . . . . . . . - - - . . . . . . .. . . - . . . - . . . . - . . . . . . . . . . . - . . . . - . . . . . . . - - . . . . - . . . . . . . . . - - . - . - . . . . . - - . - . . . . . . . . . . . -............................-....... .. ................................... .... ........................................ ...................................... . .................................... .... ........................................ . . . . . . . . - . . . . . . . . . - . . . . . . . . - - . . . . . . . . ... . . . . . . - - . - . , . . . . - - . . . . . . . . . - - . . . . . - - .. ............ - - - . . . . . . . . . . - - . . . . . . . . - . . . . - . . . - . . . . . - - . . . . - - . . . . . . . . . . - . . . . . . . . . .. . . . . . . - - . . . . . . . - . - . - . . . . . . . . - . . . . . . - . .. ......... - . . . - - . . . . . . . . . . - . . . . . . . . - . . . . . . . . . - . . . . . . . . . - . . - . . . . . . . . . . . . . . . - - . - ... . . . . . - - . . . . , . - . . - - . .. . . . . . . . . . . . . . - . .. .......... - - - . . . . . . . . . . . - . . . - . . - . . . . - . . . .................-....-...........-... . .................................... ... ..............................._...-.... ......................-.........-.... .. ......................-............ .... ........................................ fit. ·.·)BATtERY{)· <æR.o.) ilNSæROMÊÑæ ...·ØØÊØt<ØK1·..·....AÞJO$TOK1 ......................................... ......................................... . . . , . . . . - . . . . . . . . . . - . . . . . - . . . . . . . . . . . . . . . ......-.................................. ......-.................................. ....................................,.... ..................-..........-........... .......................................-. cALìsRÄTebi ......................................... aVf . ...... ..........- 'WOR DANaL 01'1 ~ Project Name: Project Number: *Pre-calibrate noise monitor prior to conducting noise survey. rev10/29 APPENDIX F EXCAVATIONITRENCHING SAFETY PROCEDURES TRENCH SAFETY DAILY FIELD REPORT SOILS ANALYSIS CHECKLIST EXCAVATIONITRENCHING - UNDERGROUND UTILITIES UNDERGROUND UTILITY CONTACT PREVENTION AND MANAGEMENT PLAN EXCAVATIONITRENCHING - UNDERGROUND STORAGE TANKS (USTs) UST REMOVALS ATTENTION: THE TRENCH SAFETY DAILY FIELD REPORT FORM MUST BE COMPLETED AT LEAST DAILY DURING EXCAVATIONITRENCHING OPERATIONS AND MORE FREQUENTLY IF CONDITIONS CHANGE. rev10/29 ,........,..... ...............;......................................IliliJlitjlíllllljll··lllllllillll.·..·····.·.··..·...···.... ........................................., ê~lîiji*~~ij~~lâijijij~¡lijl~æt~I¡lfj~lj~lljijjili.···,·,· ----............................ .......................... . ...................... ......,......_-.-.. n. _....... :.;.;.;.:.:.:.:.:.:.:.:-:.:.>:.:.:.:.:.:.:.:.:.:.:.:.:.:.:-:-:.:.:.:.:':.:.:.:.:.:.:-:-:':-:-:.:.:.:.:.:.:.:.:.:.:.......:.... -..................................................... . .................................................- ................................ · Two soil classifications must be completed to determine sloping/shoring requirements. · Conduct dail ins ections of all 0 en excavations rior to ent .....-................. ....................... ..-.................... -...................... EfÎ$if · ladders must be spaced no more than 25 feet (7.62 meters) apart so that a person in the trench is alwa within 25 feet .62 meters of a ladder for e ress. .................... ...........-........ ...................- .........-.......... .................... ...................- Stlidô · Excavations must be sloped or shored if personnel will be entering the excavation. · Soil classification may be done only by a competent person using both a visual and manual test. WARNING: One soil classification may not be enough. Outside disturbances during excavation may change even the best classification. In ect the soil after an condition chan e. Soil or Rock Type Maximum allowable slopes (H:V)1 for excavations less than 20 feet (6,10 meters) dee 2 Stable RocJ<3 Type A - highly cohesive soil Type B - cohesive soil with some sand Type C - loose, wet, or sandy soil Notes: Vertical (90j 3/4:1 1:1 1%:1 (53°) (45°) (34 0) Numbers shown in parentheses next to maximum allowable slopes are angles expressed in degrees from the horizontal. Angles have been rounded off, 2 Sloping or benching for excavations greater than 20 feet (6.10 meters) deep shall be designed by a registered professional engineer. 3 A short-term maximum allowable slope of % H:1V (63°) is allowed in excavations in Type A soil that are 12 feet (3.67 meters) or less in depth. Short-term maximum allowable slopes for excavations greater than 12 feet (3.67 meters) in depth shall be 3/4 H:1V (53°) TRENCH SAFETY DAILY FIELD REPORT rev10129 DATE: Project Name: Project Manager: Weather Conditions: I hereby attest that the following conditions existed and that the following items were checked or reviewed during this inspection: (circle appropriate response-circling boldface letter requires additional comment). ... ................ ... ............... ... ................. ... ................ ... ................. ... ................ ... ................. ... ............u__ ... .............---- ... ........-....... OO§§ ......Ng All 0 en trenches were ins ected. Were an tension cracks observed alon Was bracin s tern installed in accordance with desi n? used Is shorin secure? Was there evidence of shrinka e cracks in trench walls? Was there an evidence of cavin since the last field ins ection? Trench box s certified with tabulated data? o erations with barricades Suñace encumbrances and other hazards in area accounted for? Protective measures taken for standin water in trench. All site ersonnel wearin reflective vest. Vibrations from equipment or traffic too close to trenching operation? Observations: Competent Person signature rev10/29 Soils Analysis Checklist This checldist must be completed when soil analysis Is conducted to determine the excavation soil type. A separate analysis must be performed on each layer of soil excavation walls. Additional soil analysis must also be performed for the excavation (trench) when it stretches over a distance where soil type may change. Project Name: Date: Time: Competent person: Where was the sample taken from? Excavation: Depth length Width 2 Excavation Water Conditions · Dry · Surface Water Present · Submer ed Water Present 3 Soil Condition · Undisturbed · Disturbed · layered Soil Dipping into Excavation · Excavation Exposed to Vibrations · CrackedlFlssureslS llin Observed 4 Additional Excavation Hazards · Surface Encumbrances (If YES - What Type) · Hazardous Atmosphere In Excavation (If YES - list Source and Conditions) T Type B - Soil identified by thumb with some degree of effort Type C - SoilldentifJed by thumb with little degree or no effort T Type B - Soil with unconfined compressive strength> 0.5 to 1.5 tsf o Sloping Specify angle o Timber shoring o Aluminum hydraulic shorina o Trench Shield Max De h in this soil Note: rev10/29 I. . ·.·.·..·.·..mm.....·.·..·...·.·. ·.·.··m~·~.m..........mm···..····.......m....mm~mmmmmm ..:!)j_¡jJ!:!'!!j):!':!'J!I__ì~I!I1I¡¡¡_I:!':!'¥IJ! o Type A o Type B o Type C :!'tR'~iiiiil .:.:.:.:.:.:.:-:-:-;.;-:-:.;-;.:.:.:.:.:.:.:.:.:-;-:-:-:-:-;-;-;-;.;.:.;.:.:.:.:.:.:.:.:.:-:.:.:-:-:-;-;-:-:.:-;-;-;-:.;-:.;-:-;.;-;-:.;-:.:-:.;.:.;.:.;.:.:-;-:.;-;-;.;.;.;.;.;-;-;-;-;.;.;-;.;.;.;.;.;.;.;.;.;.;.:.:.;.:.:.:.:.:.:.;.:.:.;.;.;.;.:.;.;.:.:-:-:-;.;-;.;.;.;.;.;-;-:-;.;-:-:-:-;-:-:-:.:.;-:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.;.;.:.:.:.:.:.:.:.:.:.:.:-:.:.:.:-:.:.:-:.:.:-:-;.:.;.:.:-;.;.:.:-;.;.;.;.;.;.;.;.:.;.;.:.;.:.:.:.;.:.:.:.:.:.:.:.:.:.:.:.:.;.;.;.;.;.;.....:.......... ...................................................................--...-..-...-..--...----.---.-.-...-....-......_...................................-...-.......-..............................---.--.-...-....................-.- ...............................................................------..--..-.--..--------.----_.__............._........................................-..........................................-.-..-....................... ........................................................-..........-........-....-..--.----------...............-..............................................-....................................--..-.................... ...........................................................................--.......----.------.-..__._..............-.-.......-..........................--.....-..................................-.......-............. ........................................................................................--....-.-.-.--.....-.........---.........................................-.....................................-.-.-..-......... i:êidiVÄfiðNffiEfiióliNd@uibéRdRóöN6ÓfiJflêin:<······················· Documentation: · Contact the local utility service (Olgsafe, Misutility...), and document permit number · A company utility representative in questionable areas, elaborate trenching projects tightltricky areas or whenever drilling adjacent to a building or structure · Contact the ro owner and/or town buildin de rtment for lans Ph sical Location: · · Safe Procedures: · Machine excavate fIVe feet from any underground utility, tank, or utility marker · Hand dig in utility "five-foot tolerance zone' until the service is exposed · Utilize test its to establish and QC markers for sensitive utll" locations General Notes: · Comply with local and state codes and regulations · Utilize experienced and trained equipment operators · Use appropriate subcontractors and applicable insurance riders · Hand dig per customer mandate Underground Utilities Schematic (Plan View) Machine Excavation Zone ~____m~~~~~~=~~!~~~~~~ 115 Foot Tolerance Zone Dig Safe Markings .. c CD .. o A. Teat Pit l-- Vo.rio.ble---l rev10/29 Documentation: · Refer to existing UST plans for potential location. · Contact property owners for potential location. · Contact local Fire or Buildin De artment for information. Ph sical Location Characteristics: Cross-check to existin documentation if available · Determine tank capacity (from tank chart, owner, delivery records). · Determine tank opening locations and spacing. · Determine tank diameter (from tank chart, inventory records or gauge stick). · Determine if tank is fiberglass or steel; single walled or double walled · Refer to available .UST vendor info charts on standard USTs for dimensions and tank opening locations. Safe Procedures: · Empty tank of flammable liquids prior to excavation activities. Inert tank of flammable vapors and eliminate ignition sources Of practical). · Drill no closer than five feet from suspected tank location or other nearby underground utilities. General Notes: · Concrete pad on top of the USTs is sized to overhang the footprint of the tanks by 1 to 2 feet in each direction. Beware of exceptions. · When possible, have the owner/client mark the locations for drilling and accept responsibility for potential mishaps in writing. · Redundant information cross-checking to reduce oversight errors · Visual inspection of augured or excavated materials for pre-gravel, etc., indicative of UST backfilllbedding. 1 ,..."... UST Schematic "", " " ----------------------------------------------------------_..'"...'" 9 10 U.ø. Product I.k)e-' -- .....;,""'" "...", " I I I : I I , , : , ,'/ ~", ,'- " S' tyØlCol "..-- ,-' ,/,/ , 6 Foot Tolerance z~ ,-.. o .........-------------------------------------------------------------------" rev10/29 Minimum Action Site Set-U Precautions 1, Ignition sources must be 1. Ground vacuum truck. 1. Verify tank inerting has eliminated been accomplished by 2. Park vacuum truck measuring oxygen to 2. Designate a no downwind of be less than 8%. smoking zone or area. excavation. 2. Monitor LEL and 3. Use 3. Vent vacuum truck organic vapors pneumatic/nonsparking vapors at least 12 feet frequently in areas tools when appropriate. from the ground around tanks during surface; refer to the removal process, 4, Define the work area American Petroleum with barricades and Institute (API) Note: LEL hazard tape, recommendations for measurements taken greater clearance in oxygen deficient 5. Contact local requirements. atmospheres (e.g., in underground utility inerted tanks) will not locating service: Check 4. Inert the tank with dry be accurate. location of all utilities ice (1 Yz Ibs. dry ice per including water and 100 gallons tank 3. Check local/state sewer. capacity) or nitrogen. requirements for tank removal/disposal 6. Wear Level D PPE: 5. Wear Level B PPE regulations, hard hat, safety glasses, when cleaning tank steel-toed and shank interiors when indicated 4. Assist subcontractor in boots, and traffic vest. by HSR. performing tasks Upgrade to modified according to the HASP. level D when possibility of contact to skin or work 5. Notify the PM uniform can occur. immediately when a Upgrade to level C sub-contractor will not when air monitoring follow site specific reveals action levels safety protocols. The have been exceeded. PM must inform the This applies to all on-site client. personnel including subcontractors. 7, Perform air monitoring with an oxygen/combustimeter and an organic vapor analyzer at frequent intervals. · Refer to Fluor Daniel GTl's UST Safety Training Manual for detailed information. rev10/29 APPENDIX G CSE HAZARD ANALYSIS FORM SITE-SPECIFIC CONFINED SPACES CSE PERMIT CONFINED SPACE PERSONNEL REQUIREMENTS rev10/29 Fluor Daniel GTI, Inc. CSE Hazard Anal sls Form Site Name: Site Address: CSE NameINumber: CSE Definition: D TankNessel D Vault D D Pit Other CSE Dimensions: Sketch: Length = Width = Depth = TaskslActivitylReasons for Entry: Potential hazards within space: D Well Gauging D Bailing Product D Pump Maintenance D Well Sampling D Product Recovery D D Oxygen Deficiency D Combustible Vapors D ToxicVapors D Engulfment D No Hazards Other CSE Hazards: D Greater than 5' deep D Difficult access/egress D Energylisolation* D Prone to flooding D Slippery surface o Hot surfaces O.e., pipes) "Check he... ~ LorTO must be performed Inside con1Ined space, rev10J29 SITE-SPECIFIC CONFINED SPACES Site work may require personnel to enter confined spaces. No Fluor Daniel GTI employee or subcontractor shall enter an area identified as a confined space without using the CSE procedures described in this appendix and completing the site specific entry procedures presented in the CSE Pennit. The purpose of the CSE procedure is to protect employees from potentially hazardous environments and to facilitate immediate rescue in an emergency situation. A CSE Permit must be posted at the entrance to each confined space. A permit-required confined space is one that meets the definition of a confined space and has one or more of these characteristics: · Contains or has the potential to contain a hazardous atmosphere, · Contains a material that has the potential for engulfing an entrant, · Has an internal configuration that might cause an entrant to be trapped or asphyxiated by inwardly converging walls or by a floor that slopes downward and tapers to a smaller cross section, and/or Contains an other reco nized serious safe or health hazards, · Personnel trained to conduct CSE procedures. · Peñorm the appropriate air monitoring activity at various depths in the space prior to entry. Monitor for: (1) oxygen level, (2) flammable vapors, and (3) toxic vapors. · Ventilate the atmosphere in the space so that entry may be made safe without respiratory protection. If this is not feasible, appropriate respiratory protection must be worn by authorized entrants and attendants. · Wear appropriate respiratory protection when ventilation alone can not achieve acceptable atmospheric levels of oxygen or flammable or toxic vapors. · Have appropriate retrieval equipment worn by employees in the event of a mishap. rev10129 rev10/29 CSE PERMIT This permit must be completed prior to entering any confined space and is ONLY VALID FOR THE DATE AND TIME INDICATED ON THIS FORM. All procedural requirements contained in Fluor Daniel GTI Health and Safety Policy and Procedure No, 11 must be followed, In the event a confined space emergency situation develops and rescue is required. notify the following appropriate emergency services: Ambulance: Police: Purpose of entry: space: Date: on: Fire: Location of confined AuthoriZed duration: Expires Atmospheric Hazards: I ] Oxygen Deficiency (J Flammable ( ] Toxic ( ] Other Physical Hazards: ( ] Mechanical ( ] Electrical ( ] Chemical ( ] Engulfment ( ] Other ( ] Other PRE-ENTRY REQUIREMENTS Yes NIA II II II II II II II I I II II II II I I I] I I I] I] I] I] I] Entry area is free of debris and objects Waming barriars and signs are in place Atmospharic: monitoring c:onduc:ted All hazardous lines have been isolated Hot work permit atlac:hed All energy sources have been looked outllagged out The c:onfined spac:e has been drained and flushed Forced air or exhaust ventilation Is provided Elec:tric:al equipment is properly grounded Ground fault c:irc:uit interrupters (GFCQ provided Yes NIA I I I I Non-sparking !gols used I ] I I Low voltage (less than 25v lighting used I I I ] Elec:tric:al equipment rated for explosive atmospheres I ] I ] No c:ompressed gas c:yIinders in the c:onflned spac:e I I I I Host employer and/or c:onlractlOrs notified I I I I Entry and emergenc:y proc:edures have been reviewed I ] I ] All personnel have been trained (c:lassroomlexerc:isel I ] All personnel have been informed of potential hazards I ] I ] Attendant stationed at entranc:e and property inspected I I I ] Resc:ue equipment on loc:ation and readily ac:cessible I] PROTECTIVE EQUIPMENT Yes No I] II I] II I] I] I] I] Hard Hat EyelFac:e ProIec:t. Boots Gloves Yes I] I] II I] I] I] I] I] No Protective clothing Hearing protection Retrieval Devic:elTripod Hamess and Lifeline Yes No I] I] I] I] I] I] I] I] Communic:ations Equipment Ventilation to Provide Fresh Air Respirator (type) Other ............................. .............................. .....-....................... ...................-.......... ....-........................ .............................. ............................. .............................. ~~.gMi :::::CQriditiòiiso:::::::::::::::-:·:···· ......-.-.-,......-----...... ..........---...........-.... -.........---............_.... --....._.-----.........--.... ........_..-............--.... Ai~Iii~i:¡;;;~> ...................-.......... 19,5%·22,0'J6 Combustible Gas Below 10'J6 LEL PIDlFID Carbon Monoxide o-15PPM H H 0-5 PPM 0-2 PPM Sulfur Dioxide 0-1 PPM Ammonia 0-10 PPM Benzene 0-0,5 PPM Other SUPERVISOR APPROVAL: I certIfY that all necessary precautions have been taken to make this confined space safe for entering and conducting the work during the prescribed tlme(s) as _II as emergency response proc:edures. Print Name Sign Name Date Entry Supervisor Permit Prepared by. Atmosphere Tester Attendant ENTRANT ACKNOWLEDGMENT: I HAVE BEEN PROPERLY INSTRUCTED FOR SAFE ENTRY INTO THIS CONFINED SPACE AND UNDERSTAND MY DUTIES AND EMERGENCY PROCEDURES Print Entrant Name Sign Entrant Name Employee or S.S, No Date Time . An evaluation should ba performed to c:onsider all potential air c:ontaminants whic:h c:ould be present and represent a hazard, Rev, 9/1/94 ENTRANT INSTRUCTIONS All personnel who enter confined spaces must be thoroughly familiar with the following duties for entrants as listed below. Your primary responsibilities include: · Understand the hazards of the confined space to be entered and the physical effects of those hazards. · Continuously monitor the atmosphere inside of the confined space with a calibrated, direct reading, air monitoring instrument. · Evacuate the confined space: · If atmospheric hazards exceed the action level, · If a hazardous condition is identified inside of the confined space, and · Whenever attendant signals entrants to evacuate, · Read and understand the rescue procedures. · If PPE is required, the entrant must be properly trained on the use of the equipment prior to entry. PPE must be in good working condition. ATTENDANT INSTRUCTIONS You should be thoroughly familiar with the following duties when you assume the responsibility of attendant for a person or persons inside a confined space. Your primary responsibilities are the following: · Focus on the safety of the personnel inside. · Understand the hazards of the confined space to be entered and the physical effects of those hazards. · Maintain the conditions and requirements listed on entry permit. · Evacuate the space if you observe any condition which you consider hazardous. · Read and understand the rescue procedures. Get help if an emergency situation develops. never enter the confined space in an emergency unless you are trained and equipped with the proper equipment for confined space rescue operations O.e., self contained breathing apparatus, safety harness, life line) and are relieved by another attendant. · Keep an accurate count of all personnel inside of the confined space at all times. · Do not leave the entrance to the confined space while any personnel are still inside unless you are properly relieved, These instructions must be passes onto your relief. · If YOU have any auestions reaardina the iob, check with your sUDervisor or a health and safety Drofessional. ENTRY SUPERVISOR'S INSTRUCTIONS You should be thoroughly familiar with the following details to quality as the Entry Supervisor for a permit-required CSE procedure. · Requirements for confined space entrant and attendant instructions. · Knowledge of the hazards that may be faced during entry, including information in the mode, signs and symptoms and consequences of exposure, · Ability to verify that the appropriate entries have been made on the permit, and that all tests specified by the permit have been conducted and that all procedures and equipment specified by the permit are in place before endorsing the permit and allowing entry to begin. · Procedures to terminate the entry permit when the CSE operations have been complete or when a condition exists that is not allowed under entry permit requirements. · Ability to verify that rescue services are available and that the means of summoning them are operable. · Procedures to remove unauthorized individuals who enter or who attempt to enter the permit space during entry operations. · Ability to take responsibility for the confined space when entry is transferred to other personnel. · Ability to determine that entry operations are still consistent with the terms of the CSE permit and that the prescribed intervals regardless of changes in entry personnel. rev10129 APPENDIX H HOT WORK PERMIT HOT WORK JSA rev10/29 Project Name Hot Work Task Description: WorkerslWelders Conducting Hot Work HOT WORK PERMIT Job# PERMIT MUST BE COMPLETED IN ITS ENTIRETY AND POSTED BEFORE HOT WORK BEGINS Vêš?:::Nb:::NA? Has client re resentative been notified of intended hot work? Hazardous materials involved? Name: Will the intended hot work need to be coordinated with other contractors who may be working on the site to make them aware of any hazards and the scope of work to be erformed? Have hazardous energy sources been identified, isolated, and locked out - ta ed out before the start of the ro'ect? Will hot work be conducted within a confined s ace? All testing equipment (i,e" CGI, oxygen meter, etc.) and fire fighting equipment (i.e" extinguisher, etc.) have been checked to ensure proper operation and calibration before the start of this ro' ect? Flammable and combustible materials within 35 feet have been cleared or shielded, i in , The area has been restricted with ro er barriers and si ns, The area has been tested to be certain that atmos here is 0% LEL before startin hot work, Flame sensitive areas and equipment (including cylinders and gas delivery lines) exposed to slag, heat, and sparks are protected by flame a resistant blanket, shield, or removed from the area? Esca e routes have been identified before startin work? Is ventilation equipment needed? Type needed: THE FOLLOWING PROTECTIVE EQUIPMENT WILL BE REQUIRED (PLEASE CHECK): Yes No Yes No Welding GoggleslShield_ Tint Safety Boots Leather Gloves Supplied Air Respirator APR _ Cartridge Hearing Protection Head Protection Safety Harness Welding Leathers - Top Welding Leathers· Bottom Hot Cut Method Allowed: Cold Cut Only Method Required: APPROVALS: Fluor Daniel GTI Site Manager or Site Safety Officer Date: Name of Employee Perfonning Hot Work Fire Watch Representative rev10/29 1. Unsafe act Untrained worker 2. Welder's flash to eye 3. Radiation burns, skin burns, heat burns 4. Faulty equipment 5. Toxic fumes and gases 6. Adjacent flammable/ combustible materials 7. Flammable/combustible vapors rev10129 a. Require qualified operators only. b. Provide training per 29 CFR 1910.1200, c, Provide proper PPE. d. Inspect area prior to welding/cutting. e. Use permit system. f. Use fire watch for 30 minutes followin termination of work. a. Use filter lens based on actual hazard or welding technique in accordance with the American Welding Society Laws shade selector chart. b. Provide warning signals, barricades or similar means to protect other workers, general public. c, Provide screens or barriers to rotect other workers, eneral ublic. a, Helmet with proper filter lens. b. Gauntlet gloves, leather apron, c. Cotton shirt, long sleeves, buttoned at sleeves and collar, d. Cotton cuffless pants. e. Steel toe boots, 6-inch minimum height. f, Hearing/ear cover protection as appropriate. Work zone definition - see 2 a and b above. a. Use equipment that is in good working condition. b. Inspect valves, regulators, and hoses prior to use. c. Preventive maintenance rformed er manufacturer s ecifications. a. Provide source ventilation. b. Provide respiratory protection, selected based on hazard. c, Ro off area, define work area with cones, caution ta or similar see 2 a a. Move combustibles at least 50 feet from work area. b. If they cannot be moved consider protection by metal guards or flame proof curtain. c. Openings in walls, floors or ducts should be covered if within 35 feet of work area. d. Assure facility sprinklers are in working condition and will not be taken out of service. e, Suitable fire extinguishing equipment shall be readily available at the work area. f. Desi nate a reliable means of contactin the Fire De rtment in the event of an emer en a. If in an environment classified as a hazardous location then define specific tasks using JSA technique. b, Provide equipment per classification O.e., explosion proof, etc.) c. Post sign: DANGER - NO SMOKING, MATCHES OR OPEN LIGHTS. d. Ensure rson is assi ned as fire watch and full char; ed extin uisher is resent. FLUOR DANIIL en § ........-.-..-......-.-.-.......,......-...---.......-...---..........-... ...........-.................,............................................ ....---......-.......--.-..-.,...........--............-............--.... ..----............-..---........-.........-........-.---..--.......----... ..--.--..............---................-..........-.--_..-....~...__._-.- ..-.-.-...._-_..._........._._............-...-----_..---...._.............,-...-.-.-........_-.............-..............-.-.......-.......--.--- :J.oÞHiiifdŠ# 8. CSE 9, Unsecured compressed gas cylinders, cylinder handling 10. Unsafe practice during inactivity 11. Improper flow of gases, gas mixing, pressure in gas lines 12. Improper ignition of o enlfuel torch 13. Static electricity rev10/29 a. Follow CSE procedures. b. Use CSE permit. c. Define specific JSA techniques for that work, d. Exercise caution when using inertion to address O2 deficiency. e. Exercise caution when usin 0 ace lene fuel mix, address 0 enrichment from c linder leak. a. Store cylinders upright. b. Secure against stationary object. c, Cylinders in excess of 40 pounds in weight must be moved using wheeled cart or motorized truck. d. Lifting cylinders> 40 pounds in weight is prohibited. e. Compatible storage practices = separate O2 cylinders from flammable combustible gases. f, Use tags on cylinders to mark full, in use or empty. g. Remove protective cap using hand method or use cylinder "cap wrench". Do not jam screwdriver or wrench in ca slots to loosen. a, Provide protective cap when cylinders are not in use. b, Valves or gas cylinders shall be closed and line pressure relieved. c. Power source of electric weldin e ui ment shall be disconnected. a. Label cylinders per 29 CFR 1910.1200. b. Color code hoses (green = O2; red = fuel gases; black = inert gas or air hoses), c. Install "flash back" arresters for fuel mixing welding. d. Use ace lene at 15 unds r uare inch or less. a. Use "spark lighter" to ignite. b. Don't use ci arette, match or Ii hter for' nition. a. Provide and use grounding clamp for electric area welding equipment. 'WOR DAN IlL OTI ~ APPENDIX I HEAT/COLD STRESS PROCEDURES rev10/29 HEAT/COLD STRESS PROCEDURES 1.0 HEAT STRESS Heat stress is a significant potential hazard associated with the work task performed and the type and degree of protective equipment used in hot weather environments. Local weather conditions may produce conditions which will require restricted work schedules in order to protect employees. Monitoring for heat stress will follow one of two protocols depending on whether impermeable clothing (tyvek, saranex, rain gear, etc.) or permeable clothing (cotton coveralls) is worn. This section will apply to both hazardous and non-hazardous waste workers at the site. The site safety and health officer (SSHO) with direction from HSR will determine the environmental wet bulb globe temperature (WBGT) and physiological (heart rate [HR] and oral temperature [OR» monitoring to be conducted for both types of workers. 1.1 Workers Wearing Penneable Clothing The American Conference of Governmental Industrial Hygienists (ACGIH) have set TLVs for worker exposure to heat stress in which it is believed that nearly all workers may be repeatedly exposed without adverse health effects, The TLVs assume that workers are acclimatized, fully clothed in permeable clothing with adequate water and salt intake, and capable of functioning effectively under the given working conditions without exceeding a deep body temperature (BT) of 100.4 °Fahrenheit (F). Measurement of the WBGT has been found to be the most adequately measurable environmental factor in which to correlate with the deep BT and other physiological responses to heat. The following table reviews the work/rest regimen to be followed by all permeably clothed workers based upon routinely measured WBGT. Pennissible Heat Ex osure TLVs A licable to Workers Weañn Penneable Clothin Continuous work 86 87 89 75% work - 25% rest, each hour 50% work - 50% rest, each hour 25% work - 75% rest, each hour Values are given in of WBGT. Rest means minimal physical activity. Rest should be accomplished in the shade. Any activity requiring only minimal activity can be performed during rest period. o Parentheses indicate the 10 degree adjustment for working in impermeable protective clothing, rev10/29 1.2 Workers Wearing Impenneable Clothing Workers who must wear impermeable clothing are held at a higher risk of suffering heat stress. Impermeable clothing impedes sweat evaporation, one of the body's major cooling mechanisms. It is the duty of each employer to alert or notify the SSHO if symptoms of heat stress occur to their respective site personnel. Physiological and environmental monitoring of personnel wearing an impermeable protective equipment ensemble will commence when the ambient temperature rises above 70°F. Environmental monitoring will be conducted continuously for as long as the ambient temperature stays above 70°F and physiological monitoring will be conducted immediately before and after each work period. Frequency of physiological monitoring will increase as the ambient temperature increases or if slow recovery rates are indicated. The break time must be sufficient to allow workers to recover from the effects of heat stress. This will be accomplished by measuring the recovery HR and ~T. The break time duration will be determined using the following methodology and criteria: · Seat person being monitored, · Take OT, and · Measure pulse in the following sequence: · Pulse #1 : 30 seconds to 1 minute after sitting · Pulse #2: 2% to 3 minutes after sitting An excessive heat stress condition exists when any of the following conditions exist: 1. Oral or ear temperature exceeds 99.5°F 2. If pulse #2 is greater than 90 beats/minute 3. Pulse #1 is greater than 100 beats/minute Worker cannot return to work until: · Oral or ear temperature is below 99.5°F · Pulse rate is below 90 beats/minute · Recovery HR for workers with HRs over 90 beats per minute is less than 10 beats per minute less than the original HR Adhering to the guidelines for heat stress prevention and monitoring will greatly minimize the possibility of the occurrence of heat stress. Site personnel must also be aware of the symptoms of heat-related disorders and be prepared to administer the appropriate treatments. 1.2.1 Prevention A. Provide plenty of fluids, A 50 percent solution of fruit juice or similar solution in water, or plain water will be available. For workers performing work inside an exclusion zone (EZ), fluid intake may occur in the contaminated reduction zone (CRZ). Workers must first perform a partial decontamination process which will include removal of gloves and washing of hands and face prior to consumption of fluids. The SSHO will monitor the partial decontamination and fluid consumption process to ensure that ingestion of site contaminants does not occur. B. Work in pairs whenever conducting level B activity or permit required CSE activity. rev10/29 C. Provide cooling devices. Ice vests or on-site showers can be provided to reduce BT and/or cool protective clothing. The amount and type of undergarments worn will be left to the preference of each indMdual unless prone to heat stress, especially heat rash. In this case, the worker can wear "long john" cotton type underwear to keep skin off chemical resistant clothing. D. Adjustment of the work schedule. When practicable, the most labor-intensive tasks should be carried out during the coolest part of the day, E, Shaded or cooled rest areas. Shaded or cooled rest areas will be provided when site environmental and/or workers physiological responses warrant. 1.1.3 Heat Stress Monitoring Physiological monitoring of personnel wearing an impermeable protective ensemble will be conducted at regular intervals at the beginning and conclusion of the work period. HR must be periodically measured for all site personnel when heat stress conditions (climate or wearing impermeable clothing). Additional physiological monitoring such as BT and body water temperature (BWT) monitor:ing can be measured for extreme temperatures and when impermeable clothing is worn. A. HR must be measured by the radial pulse for 30 seconds as early as possible in the resting period and repeated approximately 3 minutes into rest period. The HR at the beginning of the rest period should not exceed 110 beats per minute, The HR also should not exceed 90 beats per minute after approximately 3 minutes of rest. If the HR does exceed the criteria, the next work period will be shortened by 33 percent, while the length of the rest period will remain the same. If the HR still exceeds the criteria at the beginning of the next rest period, the following work period will be shortened by 33 percent. B. BT can be measured orally with a clinical or disposable thermometer, in accordance with manufacturer's instructions, as early as possible in the rest period (before drinking liquid). Oral or ear temperature at the beginning of the rest period should not exceed 99.5°F. If it does, the next work period will be shortened by 33 percent while the length of the rest period will remain the same. However, ifthe OT exceeds 99.5°F atthe beginning ofthe next rest period, the following work period will be shortened by another 33 percent. A worker will not be permitted to wear a semi-permeable or impermeable protective ensemble when hislher BT exceed 99,5°F, C. Body water loss (BWL) due to perspiration can be measured by having the worker weigh himlher self at the beginning and end of each work day. Similar clothing should be worn at both weighing. BWL should not exceed 1.5 percent total body weight in a work day. Suggested Frequency of Physiological Monitoring for Fit and Acclimated Workers1 rev10129 ·...""..,'.......'.....'.............','..........................,.. ..............,.....,................................................,."",.".,.., ..."................,......,..,......................,......,...... .........,.............................................................. . . . . . . . . . . , . . . . . . . , . . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' , ..........,.....................................,',....."....,...., ....,...".........,.,..,............"""..,."............,."....,. ......................'.....'...'.....'.'.'...'...'.'.'...'.'.........'.....'.......................'.......'...'.......'.........................................',',' ..,...,'.'.......'......,...................................................................,.,.,.,.,...........,.,..........'.....','.. ......'................................................................. .,...',,'.'................................'........................... ...........................................................'......................' ....,......,..........................,....,.,.,......,............. ....".",'..,....".,'.','.,.,.......,..,...'.'.,...................... ....................,...,.,.,.,.,.,.,.,.",...,.,.,.,.........,...........................,..........',.,..'...',',..'.'.....'.'.'...'.'.'.'...'.'.......'............. ....................'.,...........,.........,.,..................... .......,...............,.....................,.......,........,....,.., ",.".,...,.,...................................,...,"....,....,.. ÄdjuildT.þjt¡tijl~ : .......... :ÑbhriijWðtkÊhiimbìi~:::: .... :::ibíê.ÊhiimbÎé~)n} ................. .-........,......",..."..,......,......,............... ' .............,....,............................ 90° F (32.2°C) or above After each 45 minutes of work After each 1 5 minutes of work 87.5°-90° F (30.8°-32,2°C) After each 60 minutes of work After each 30 minutes of work 82.5°-87.5° F (28.1 0_30.8°C) After each 90 minutes of work After each 60 minutes of work 77.5°-82.5° F (25.3 ° -28.1 °C) After each 1 20 minutes of work After each 90 minutes of work 72.5°-77.5° F (22.5°-25.3°C) After each 1 50 minutes of work After each 1 20 minutes of work 2 For work levels of 250 kilocalories per hour. Calculate the adjusted air temperature (Tad~ using the following equation: Tad] (oF) = Tad] (oF) + (13 X percent sunshine) Measure the air temperature (Tad~ using a standard mercury-in-glass thermometer with the bulb shielded from radiant heat. A normal work ensemble consists of cotton overalls with long sleeves and pants. An impermeable work ensemble consists of impermeable coveralls with long sleeves and pants, 3 4 1.1.4 Recognition and Treatment Any personnel who observes any of the following forms of heat stress either in themselves or in another worker, will report this information to his or her immediate supervisor or the SSHO. A. Heat Rash (or prickly heat) Cause: Continuous exposure to hot and humid air, aggravated by chafing clothing. Symptoms: Eruption of red pimples around sweat ducts accompanied by intense itching and tingling, Treatment: Remove sources of irritation and cool the skin with water or wet cloths. rev10129 B, Heat Cramps or Heat Prostration Cause: Profuse perspiration accompanied by inadequate replenishment of body water and electrolytes. Symptoms: Sudden development of pain and/or muscle spasms in the abdominal region. Treatment: Remove the worker to the CRZ. Remove protective clothing. Decrease BT and allow a period of rest in a cool location. C. Heat Exhaustion - SERIOUS Cause: Overexertion in a hot environment and profuse perspiration accompanied by inadequate replenishment of body water and electrolytes. Symptoms: Muscular weakness, staggering gait, nausea, dizziness, shallow breathing. Treatment: Perform the following while simultaneously making arrangements for transport to a medical facility. Remove the worker to the CRZ. Remove protective clothing. Lie the worker down on his or her back in a cool place, and raise the feet 6 to 12 inches. Keep warm, but loosen all clothing. If conscious, provide sips of a salt water solution consistency of one teaspoon salt in 12 ounces water. Transport the worker to a medical facility. D. Heat Stroke - EXTREMELY SERIOUS Cause: Same as heat exhaustion. Symptoms: No perspiration, dry mouth, pain in the head, dizziness, nausea. Treatment: Perform the following while making arrangements for transport to a medical facility. Remove the worker to the CRZ, Remove protective clothing. Lie the worker down in a cool place and raise the head and shoulder slightly. Cool without chilling. Apply ice bags or cold wet cloth to the head. Sponge bare skin with cool water or rubbing alcohol. If possible, place the worker in a tub of cool water. Do not give stimulants. Transport to a medical facility. rev10J29 HEAT STRESS MONITORING FORM Project Name: Project Number: SSHO: ......,....................... ............................. .............................. .",.......,......',...,..... · , , , . . . . . . . , , . .. . . . ' . , . , . . . . . . ............................. .............................. ............................. QmJy! · . . . . . . , . . . . . . . . , , . . . . . . . . . , . ................,............. .I¡~ir·· tõlšt · . . . . . . , , . . . . . . . . . . . . . . . . rev10/29 FLUOR DAHilL OTI ~ 2.0 COLD STRESS If work on this project begins in the winter months, thermal injury due to cold exposure can become a problem for field personnel. Systemic cold exposure is referred to as hypothermia. Localized cold exposure is generally labeled frostbite. A. Hypothermia: hypothermia is defined as a decrease in the patient core temperature below 96°F. The BT is normally maintained by a combination of central (brain and spinal cord) and peripheral (skin and muscle) activity. Interferences with any of these mechanisms can result in hypothermia, even in the absence of what normally is considered a "cold" ambient temperature. Symptoms of hypothermia include: shivering, apathy, listlessness, sleepiness, and unconsciousness. B. Frostbite: frostbite is both a general and medical term given to areas of local cold injury. Unlike systemic hypothermia, frostbite rarely occurs unless the ambient temperatures are less than freezing and usually less than 2°F, Symptoms offrostbite are: a sudden blanching or whitening ofthe skin; the skin has a waxy or white appearance and is firm to the touch; tissues are cold, pale, and solid. Prevention of cold related illness can be aided by educating workers on recognizing the symptoms of frostbite and hypothermia and by identifying and limiting known risk factors. The workers should be provided with enclosed, heated environments on or adjacent to the site, dry changes of clothing, and warm drinks. To monitor the worker for cold related illnesses, start (oral) temperature recording at the job site: · At the field team leader's discretion when suspicion is based on changes in a worker's performance or mental status. · At a worker's request. · As screening measure, two times per shift, under unusually hazardous conditions (e.g., wind-chill less than 20°F, or wind-chillless than 30°F with precipitation). · As a screening measure whenever anyone worker on the site develops hypothermia. Workers developing moderate hypothermia (a core temperature of 92°F) should not return to work for at least 48 hours. rev10/29 99.6 96.8 95.0 93.2 91.4 89,6 - 87.8 86.0 - 84,2 78.8 64.4 Normal core bod tern erature Metabolic rate increases Maximum shiverin Victim conscious and res onsive Severe h othermia Consciousness clouded, blood pressure difficult to obtain, pupils dilated but react to Ii ht, shiverin ceases Progressive loss of consciousness, muscular rigidity increases, pulse and blood ressure difficult to et, res irato rate decreases Victim seldom conscious Lowest accidental hypothermia victim to recover In order to minimize the risk of the hazards of working in cold environments, workers will be trained and periodically reinforced in the recognition of the physiologic responses of the body to cold stress. In addition, the use of insulated work clothing, warm shelters and worklwarming regimens may be used to minimize the potential hazards of cold stress. Also, special attention will be paid to equipment warm-up time and freeze protection for vessels, piping, equipment, tools, and walkinglworking surfaces. The current ACGIH TLVs for cold stress found in this appendix will be used as a guideline, rev10J29 APPENDIX J DAILY TAILGATE SAFETY MEETING FORM rev10129 FLUOR DANIEL GTI DAILY TAILGATE SAFETY MEETING ProjecUSite: Date: Presented by: T opic( s )/Information Reviewed: Title: Comments/Follow-up Actions: Sign in: NAME SIGNATURE COMPANY Instructions: rev10J29 · Conduct a Daily Tailgate Safety Meeting prior to beginning each day's site activities. · Complete form and file with Site Health and Safety Plan. · Follow-up on any noted items and document resolution of any action items. rev10/29 FLUOR DANIIL ern ~